You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Credentialing Specialist responsible for ensuring compliance with credentialing policies, overseeing verification and payer credentialing, and maintaining the practitioner database. This role involves collaboration with various departments to manage provider certification and licensure.

Key Responsibilities

• Work with department managers and staff to acquire necessary materials and information for provider certification and licensure.
• Oversee verification and payer credentialing to ensure compliance with state and federal standards.
• Manage the process and organization of all-payer credentialing and re-credentialing paperwork with insurance companies.
• Maintain a database of practitioners' training, education, licensing, and experience information.
• Act as a key liaison with Medical Staff team, outside vendors, and IT for HIS system updates.
• Assist in filling out, reviewing, and submitting applications with practitioners and staff.
• Perform ongoing provider database maintenance for accuracy and completeness.
• Ensure compliance with regulations set by HIPAA, Joint Commission standards, HCQIA, NCQA, CMS, and state regulations.

Qualifications

• Strong credentialing experience required.
• Ability to work remotely.
• Preferred experience with Epic and/or Medent EMR.

Skills

• Strong technical and administrative skills related to credentialing.
• Excellent communication and collaboration skills.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Our client is committed to compliance with all applicable laws, which includes providing equal opportunity in hiring and employment, and prohibiting discrimination. All applicants will be considered without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.